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Resources for calculating payment
 

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Examples of calculating the payment for various provider types

 
2010 Current Resources effective 7/1/10
For OAR 436-009 rules
ASA Relative Value Guide
Current Procedural Terminology (CPT®) codes/CPT® Assistant
ICD-9-CM Code Book
1500 Claim Form Reference Manual
NUBC-04
HCPCS Coding System
 
 
The American Society of Anesthesiology Relative Value Guide (ASA)
Provides RVUs and related information used in determining medical services payments for anesthesia providers. Ask for the 2011 Relative Value Guide.

To order the ASA Relative Value Guide, contact:
American Society of Anesthesiologists
520 N. Northwest Highway
Park Ridge, IL 60068-2573
Phone: 847-825-5586
Current Procedural Terminology (CPT®)/CPT® Assistant
Provides codes, descriptions, and guidelines for medical service providers to use in billing for their services. Ask for CPT® 2011.

To order the CPT® 2011 or the CPT Assistant, contact:
American Medical Association
515 North State Street
Chicago, IL 60610
Phone: 800-621-8335
 
ICD-9-CM Code Book
Provides codes and description to use for diagnosis and categorizing disease and injuries. Check out the free on-line ICD-9 search.
 
1500 Claim Form Reference Manual

The National Uniform Claim Committee's 1500 Claim Form Reference Instruction Manual can be used as a guide to complete the CMS 1500 billing form.

 
NUBC-04
For hospital billing, this replaces the UB-92.

To order the NUBC UB-04 Data Specifications Manual, contact:
National Uniform Billing Committee
American Hospital Association
29th Floor
One North Franklin
Chicago, IL 60606
Phone: 312-422-3390
Ask to: Become a subscriber of the NUBC UB-04 Specifications Manual
 
Healthcare Common Procedure Coding System
To order the Healthcare Common Procedure Coding System
National Technical Information Service
Springfield, VA 22161
Phone: 800-621- 8335
Online link

 

If you have questions about this webpage, please contact the medical section, 503-947-7606.